CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: St. Patrick Hospital

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$39
about 1.1× the $35 Medicare rate · typically $36–$50
modeled estimate · not a bill or quote
What this hospital charges insurers
$36
About the fair price
about $3 under the fair price · 1.0× Medicare
Medicare pays $35 Fair price $39 This hospital $36 Cash price $60 Hospital's list price $75

How we calculate the fair BaseRate →

How this hospital compares to other MT hospitals

One of the lower prices — 7 of 8 other MT hospitals charge more for the same procedure.

Cheapest $34 Priciest $88

Black dot = this hospital, among the 9 MT hospitals with a price for this procedure. Full list below.

A fair price for a Occupational therapy (therapeutic activities) is about $39 (about 1.1× the $35 Medicare rate). St. Patrick Hospital charges insurers about $36, or about $60 in cash — about the fair price. Located in Missoula, MT.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Humana UnitedHealthcareAetnaCignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
Blue Cross Blue Shieldmajor $35 100%
Humanamajor $36 103%
PacificSource $36 103%
+ 1 smaller / regional plan $70

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 500 W Broadway, Missoula, MT 59802
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals